TAMIECA DIANE SHELLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144295

License Status

NOT RENEWED

Business

First Name

TAMIECA

Middle

DIANE

Last Name

SHELLS

Business Name

TAMIECA DIANE SHELLS

Original Issue Date

08/23/2002

Effective Date

08/23/2002

Expiration Date

03/31/2005

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005